MIDDLESEX HUMAN SERVICE AGENCY INC. NPI 1700394962

NPI Information

MIDDLESEX HUMAN SERVICE AGENCY, INC. is a substance abuse rehabilitation facility in Boston, MA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. MIDDLESEX HUMAN SERVICE AGENCY, INC. NPI is 1700394962. The provider is registered as an organization entity type.

The provider's business location address is:

65 GLEN RD
BOSTON, MA
ZIP 02130-340
Phone: (617) 524-4416
Fax: (617) 524-4450

The provider's authorized official is Robert Mills .
The authorized official title is Chief Executive Officer and has the following contact phone number (781) 894-6110.

The CLIA number assigned to this NPI record is 22D2209159 - other - congregate care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/22/2018 and was last updated on 9/20/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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